Medical kit and associated systems and methods for preventing central line associated blood stream infection

ABSTRACT

A medical kit 100 includes a drape 1323. A plurality of pockets (1302,1303,1304,1305, 1306,1307) are disposed along a bottom edge of the drape 1323 in a linear, side-by-side arrangement. A plurality of medical implements (1310,1311,1312,1313,1314,1315) are stowed in the plurality of pockets on a one-to-one basis. Medical indicia (1316,1317,1318,1319,1320,1321) is disposed along each pocket. The medical indicia can include one or more educational prompts that instruct medical personnel how to use a particular medical implement disposed in a pocket to complete a central catheter dressing change.

CROSS REFERENCE TO PRIOR APPLICATIONS

This application is a continuation of U.S. application Ser. No.16/833,551, filed Mar. 28, 2020, which is a continuation of U.S.application Ser. No. 15/492,864, filed Apr. 20, 2017, which is acontinuation-in-part of U.S. application Ser. No. 15/207,111, filed Jul.11, 2016, which is a continuation-in-part of U.S. application Ser. No.15/131,839, filed Apr. 18, 2016, each of which is incorporated byreference for all purposes.

BACKGROUND Technical Field

This invention relates generally to medical kits, and more particularlyto medical kits configured to facilitate prevention of infection andother complications during medical procedures.

Background Art

Healthcare facilities are increasingly concerned about the occurrence ofsecondary complications occurring during medical and surgicalprocedures. For example, during a medical procedure on an otherwisehealthy patient, such as the insertion of an intravenous catheter, thereis the possibility that a secondary infection or other complication canresult. This problem is so significant, it has been named with theacronym “CLABSI,” which stands for Central Line Associated Blood StreamInfection. CLABSI primarily occurs at one or more of three events:Catheter insertion, access line attachment to the catheter, andmaintenance of the access line. As a result of the problems associatedwith CLABSI, more attention is being turned to establishment andmaintenance of sterile fields about patients and procedure sites duringmedical procedures. It would be advantageous to have improved medicalkits and associated methods and systems that help to prevent CLABSI.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 illustrates one explanatory medical kit configured in accordancewith one or more embodiments of the disclosure.

FIG. 2 illustrates one explanatory packaging label for a medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 3 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 4 illustrates one explanatory patient care card of a medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 5 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 6 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 7 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 8 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 9 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 10 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 11 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 12 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 13 illustrates explanatory contents of a medical kit in accordancewith one or more embodiments of the disclosure.

FIG. 14 illustrates explanatory instructional materials, which can beaffixed to and instruct the use of, an explanatory medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 15 illustrates explanatory instructional materials, which can beaffixed to and instruct the use of, an explanatory medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 16 illustrates explanatory instructional materials, which can beaffixed to and instruct the use of, an explanatory medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 17 illustrates explanatory instructional materials, which can beaffixed to and instruct the use of, an explanatory medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 18 illustrates explanatory instructional materials, which can beaffixed to and instruct the use of, an explanatory medical kit inaccordance with one or more embodiments of the disclosure.

FIG. 19 illustrates a first side of an alternate unfolded drape inaccordance with one or more embodiments of the disclosure.

FIG. 20 illustrates a second side of an alternate unfolded drape inaccordance with one or more embodiments of the disclosure.

FIG. 21 illustrates a first side of yet another unfolded drape inaccordance with one or more embodiments of the disclosure.

FIG. 22 illustrates a second side of yet another unfolded drape inaccordance with one or more embodiments of the disclosure.

FIG. 23 illustrates a first side of yet another unfolded drape inaccordance with one or more embodiments of the disclosure.

FIG. 24 illustrates a second side of yet another unfolded drape inaccordance with one or more embodiments of the disclosure.

FIGS. 25-28 illustrate folding steps for one explanatory drapeconfigured in accordance with one or more embodiments of the disclosure.

Skilled artisans will appreciate that elements in the figures areillustrated for simplicity and clarity and have not necessarily beendrawn to scale. For example, the dimensions of some of the elements inthe figures may be exaggerated relative to other elements to help toimprove understanding of embodiments of the present invention.

DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION

Embodiments of the disclosure are now described in detail. Referring tothe drawings, like numbers indicate like parts throughout the views. Asused in the description herein and throughout the claims, the followingterms take the meanings explicitly associated herein, unless the contextclearly dictates otherwise: the meaning of “a,” “an,” and “the” includesplural reference, the meaning of “in” includes “in” and “on.” The terms“substantially” and “about” are used to refer to dimensions,orientations, or alignments inclusive of manufacturing tolerances. Thus,a “substantially orthogonal” angle with a manufacturing tolerance ofplus or minus two degrees would include all angles between 88 and 92,inclusive. Relational terms such as first and second, top and bottom,and the like may be used solely to distinguish one entity or action fromanother entity or action without necessarily requiring or implying anyactual such relationship or order between such entities or actions.Also, reference designators shown herein in parenthesis indicatecomponents shown in a figure other than the one in discussion. Forexample, talking about a device (10) while discussing figure A wouldrefer to an element, 10, shown in figure other than figure A.

A central catheter is a catheter that is placed into a large veinthrough which medical professionals may deliver fluids, dyes, ormedications to a patient. For example, during angiogram procedures,medical professionals will insert a central catheter into an artery orvein. The catheter is then directed to the proper area within thepatient. A special dye is then injected into the vessel so that thecirculatory system will be visible to a radiographic camera.

Central catheters can also be used to withdraw fluids, such as blood,for testing. Central catheters can also be placed into a patient toallow prolonged intravenous access, such as for extended antibiotictreatment, chemotherapy, and so forth. In the former case, insertion istemporary. In the latter, central catheters can be left in place in thepatient's arm for periods ranging from six weeks to one year.

Central catheters can be inserted into various parts of the patient.Frequently, they are inserted into the chest of a patient. Placementinto vessels in the chest can be advantageous in some procedures in thatthe path through which the catheter must be guided is shorter from thechest to the heart than from another portion of the patient's body.Central catheters can be placed in other locations as well, however. Forexample, during angiograms catheters can be inserted into a blood vesselnear the groin, such as the femoral artery or vein. They can also beplaced into vessels in the arm. Central catheters inserted into arms aregenerally known as “peripherally” inserted central catheters.

Catheter insertion procedures are generally performed bedside or in adiagnostic lab room by a medical professional who specializes incatheter insertion. The medical professional is frequently a speciallytrained nurse. One exception to bedside insertion occurs duringradiology procedures, such as angiograms, where the catheter is guidedand inserted by a doctor.

Regardless of who inserts the catheter, or where it is inserted,bloodstream infection is continually a concern. It will be readilyunderstood that insertion of a foreign object, which can be on asemi-permanent basis, into a patient's vein has associated therewith arisk that bacteria or other microbes will be introduced into thebloodstream during central catheter and peripherally inserted centralcatheter insertion procedures. Studies have shown that such infectionscan be a source of death.

While the largest percentage of these infections occurs at the time ofcatheter insertion, significant amounts of infection can occur when theinsertion site is being cleaned and maintained. To combat this, somehealth care providers have begun to issue catheter insertion andmaintenance procedure requirements that are similar to those used insurgery. For example, a catheter insertion or maintenance specialist mayhave to don hair covering, a mask, gloves, foot coverings, and afull-body sterile surgical gown, just as if they were entering anoperating room. Such procedures also require the patient to be coveredby a conventional medical drape. Such procedures attempt to ensure thata maximum barrier environment is established prior to the insertion of,and during the maintenance, use, or cleaning of, central catheter lines.

While the procedures are beneficial, they are insufficient forpreventing bloodstream infections during central line procedures for tworeasons: First, it is frequently the case that medical personnelperforming line placement or maintenance operations are unfamiliar with“surgical” practices and aseptic techniques used during operations. Saiddifferently, personnel working with central catheter devices generallydo not work in the operating room, and are therefore frequentlyunacquainted with operating room procedures. Accordingly, such personneltherefore frequently lack understanding of certain techniques, includingsterile field maintenance and other aseptic techniques. Thesedeficiencies can cause breaks in aseptic techniques, thereby leading toan increased likelihood of infection.

Embodiments of the present invention work to solve both problems byproviding an intuitive medical kit that assists medical personnel inexecuting method steps to clean central catheter insertion sites,replace dressings, and otherwise maintain a central catheterinstallation while adhering to proper aseptic techniques that minimizethe likelihood of infection. Embodiments of the disclosure includeindicia configured as medical educational and instructional prompts thatguide medical personnel through the steps of changing a central catheterinsertion dressing while minimizing infection risk.

In one or more embodiments, a medical kit includes a drape with a seriesof pockets that are arranged side-by-side along an edge of the drape toprovide maximum workspace along the drape itself. The pockets arearranged, in one embodiment, to contain medical devices in order of useduring a central catheter dressing change operation. This allows thepockets to serve as a mnemonic device that alerts medical personnel to astep-by-step method for changing a central catheter dressing.

In one or more embodiments, each pocket included medical indicia affixedthereto comprising educational prompts that instruct medical personnelregarding how to use a particular device disposed within a particularpocket. For example, the medical indicia can feature animations and/orinstructions that teach medical personnel how, when, and in what orderto use each medical implement. In one embodiment, the pockets areadditionally placed in the order of use, each containing a medicaldevice on a one-to-one basis, and are specifically dimensioned so as tobest secure the contents stowed therein. This secondarily functions inthe prevention of using the medical devices in an improper order.

In one embodiment, once the medical devices are stowed within thepockets, the drape is folded, in one embodiment, with a predefinedfolding construct that allows the user, upon unfolding the drape, toensure that a sterile field for the medical implements is notcompromised. Illustrating by example, in one embodiment rubber glovesand liquid hand sanitizer are disposed in different folds from othermedical implements, thereby ensuring that the gloves and hand sanitizerwill be used before the other medical implements and in the proper orderfor a central catheter dressing replacement procedure. The rubber glovesand liquid hand sanitizer can be disposed in outer folds, for example,while the other implements are disposed in interior folds to ensure thatthe gloves and hand sanitizer are accessible before fully unwrapping thedrape. In one or more embodiments, the medical kit can include othervisual mnemonic devices, such as stop signs, to ensure that personnelpause during predefined portions of the procedure to complete allnecessary operations of one step of the procedure prior to proceeding toa subsequent step. In one or more embodiments, the folded drape issecured in its folded form with a breakaway strip to ensure thatinteriorly folded portions of the drape remain sterile.

Advantageously, embodiments of the disclosure overcome problemsassociated with prior art central catheter dressing replacement kits.Prior art central line dressing replacement kits are not arranged in alogical fashion so as to reduce the chance of CLABSI. Moreover, theyfail to include the educational prompts and other indicia advantageouslyoffered by embodiments of the present disclosure. As such, they arenon-intuitive to use and require specialized training that few medicalpersonnel possess. These deficiencies result in variation of procedurethat can result in improper dressing change procedures that increase therisk of CLABSI.

Advantages offered by the embodiments of the invention, as compared toprior art kits, include helping medical personnel more easily replacemedical dressings disposed about central catheter insertion sites.Moreover, medical kits configured in accordance with one or moreembodiments of the disclosure help to ensure medical personnelconformance with proper aseptic techniques. They also help in dressingreplacement without compromising the integrity of the catheter that hasbeen inserted into the patient. Other advantages and benefits will beobvious to those of ordinary skill in the art having the benefit of thisdisclosure.

Turning now to FIG. 1, illustrated therein is one explanatory medicalkit 100 configured in accordance with one or more embodiments of thedisclosure. As shown, the medical kit 100 is sealed within a wrap 101 tokeep the internal components sterile. The wrap 101 can be any of anumber of types of material. In one embodiment the wrap 101 comprises athermally sealed bag. The thermally sealed bag can optionally include apreformed opening. For example, in one embodiment, the opening caninclude one or more tabs that a health care services provider isinstructed to pull to open the bag. Sealing the contents of the medicalkit 100 within the wrap not only keeps the contents within sterile, butalso allows the attachment of a printed label 102 having a peelable flap103. In one embodiment, the printed label 102 is configured as a booklethaving one or more pages, with the peelable flap 103 being formed by atleast one page that is peelable from at least another page.

In one or more embodiments, the printed label 102 is configured as abooklet with at least one page that is configured to be peeled away fromat least another page to reveal pictorial and/or textual step-by-stepinstructions for using the medical kit 100. In this illustrativeembodiment, the outer page of the printed label 102 includes a colorphotograph 104 of the contents disposed within the medical kit 100. Thecolor photograph 104, which can also be a drawing, black and whitephotograph, illustration, or other rendering, is disposed in thisembodiment alongside a description 105 of the medical kit 100 and aninventory 106 of at least some of the contents of the medical kit 100.In one or more embodiments the background panel 107 is a different colorfrom the colors set forth in the color photograph 104 to emphasize thecontents shown in the color photograph 104. In one embodiment, theinventory 106 of the medical kit 100 comprises a textual listing of theimplements disposed within the medical kit 100.

The illustrative medical kit 100 of FIG. 1 is suitable for use incentral catheter insertion site dressing changes. While this type ofprocedure is used in the discussion below as an illustrativeapplication, it will be clear to those of ordinary skill in the arthaving the benefit of this disclosure that the invention is not solimited. Minor modification to the medical kit, such as replacement ofsome medical implements for others, will permit the medical kit to bereadily used for a wide variety of medical procedures.

Turning now to FIG. 2, in one embodiment where the printed label 102 isconfigured as a booklet comprising at least one peelable flap 103,opening the peelable flap 103 reveals instructional material 200. Theinstructional material 200 can instruct medical personnel regarding howto use the medical kit 100. For example, in one embodiment theinstructional material 200 includes instructions for using the medicalkit 100 and the corresponding implements disposed within the medical kit100.

Embodiments of the disclosure contemplate that placement of the printedlabel 102 on the outer surface 202 of the wrap 101 can be superior toplacing the instructions within the wrap 101 for a variety of reasons.One illustrative reason is that patients may be less comfortable whenmedical personnel read the instructional material 201 corresponding tothe use of the medical kit 100 in front of a patient. Even if themedical personnel is trained in what they are doing, the act of readingan instruction manual prior to performing a procedure may make thepatient nervous, even questioning the medical personnel's qualificationsand competence. Moreover, nervous patients can compromise the efficacyof a procedure. By making the instructional material 201 accessibleprior to opening the wrap 101, medical personnel can read the same at alocation away from the patient without compromising the sterility of thecontents disposed within the medical kit 100.

Additionally, as noted above the contents of the medical kit 100 aresterile when sealed within the wrap 101. For procedures such as dressingreplacement at central catheter insertion sites, the wrap 101 must beopened at the procedure site to avoid contamination of the medicaldevices disposed within the medical kit 100. Accordingly, when theinstructional material 201 is disposed inside the wrap 101, a medicalservices provider must read the instructions in front of a patient.Adhesively affixing the printed label 102 and its instructional material201 to the outside of the wrap 101 allows a medical services provider torefresh her memory as to the instructions without making a patientuncomfortable.

FIG. 2 provides illustrative instructional material 201 suitable for usein central catheter insertion site dressing changes. The instructionalmaterial 201 can include text only. However, in many embodiments one ormore pictorial images 203,204,205,206 can be included with the text tomake the instructional material 201 more easily understandable. As theysay, a pictorial image 203,204,205,206 can be worth a thousand words.Accordingly, including one or more pictorial images 203,204,205,206 canreduce the amount of text needed to convey the same message.

In this illustrative embodiment, the instructional material 201 isarranged in three columnar sections 207,208,209, each including aheading and a body. In this illustrative application, the first columnarsection 207 describes the steps of a preparation method to be performedbefore changing a central catheter insertion site dressing. For example,the body of the first columnar section 207 may include a first stepinstructing medical personnel to perform hand hygiene upon entering apatient's room. The body of the first columnar section 207 may include asecond step instructing medical personnel to explain the procedure to apatient. The body of the first columnar section 207 may include a thirdstep instructing medical personnel to prepare the work surface. Thisthird step may include instructions such as cleaning a bedside table orother work surface with a disinfecting wipe. Other steps for preparing awork surface will be obvious to those of ordinary skill in the arthaving the benefit of this disclosure.

The body of the first columnar section 207 may include a fourth stepinstructing medical personnel to perform hand hygiene again. Note thatthe first step included a similar instruction in one embodiment above.The first hand hygiene process can be different from the second in oneor more embodiments. For example, the first hand hygiene operation maybe washing hands with soap and water, while the second hand hygieneoperation may include the application of liquid hand sanitizer. Otherhand hygiene operations will be obvious to those of ordinary skill inthe art having the benefit of this disclosure. In one embodiment, thebody of the first columnar section 207 may conclude by instructingmedical personnel to don non-sterile gloves.

In this illustrative application, the second columnar section 208describes the steps of removing a central catheter insertion sitedressing. For example, the body of the second columnar section 208 mayinclude a first step instructing medical personnel to remove an exteriordressing, change an impregnated disk disposed about the central catheterinsertion site, and may further include instructions to properly discardboth the exterior dressing and the impregnated disk.

The body of the second columnar section 208 may include a second stepinstructing medical personnel to examine the exposed central catheterinsertion site to determine whether additional medical care is required.In this illustrative embodiment, these instructions include aninstruction to look for signs of infection, including redness,irritation, increased soreness, or drainage. This second step mayoptionally instruct medical personnel NOT to touch the exposed centralcatheter insertion site with their bare fingers to help reduce CLABSI.The second step may further instruct medical personnel to document anysigns of infection, including but not limited to the aforementionedredness, irritation, increased soreness, or drainage.

In this illustrative application, the third columnar section 209describes the steps of applying a new central catheter insertion sitedressing. In one embodiment, the body of the third columnar section 209may include a first step instructing medical personnel to open thedressing kit by unfolding it to only its first layer. The body of thethird columnar section 209 may then include a second step instructingmedical personnel to don a surgical mask that is included within a firstexterior fold of the dressing kit. The body of the third columnarsection 209 may then include a third step instructing medical personnelto offer the patient a mask. The third step may further instruct medicalpersonnel to instruct the patient, if a mask is refused, to turn awayfrom the central catheter insertion site.

The body of the third columnar section 209 may include a fourth stepinstructing medical personnel to perform hand hygiene using liquid handsanitizer disposed within the first exterior fold of the dressing kit.As will be shown in more detail below with reference to FIGS. 8-10, inone or more embodiments a surgical mask, liquid hand sanitizer, andsterile disposable gloves are strategically placed within a firstexterior fold of the dressing kit while other implements used in thecentral catheter insertion site dressing change are disposed withinsecond, third, or fourth interior folds of the dressing kit.Accordingly, in one or more embodiments the fourth step of the body ofthe third columnar section may correspond directly to a physicallocation within the dressing kit where specific medical implements aredisposed.

In one embodiment, the body of the third columnar section 209 may theninclude a fifth step instructing medical personnel to don sterile glovesdisposed within the first exterior fold of the dressing kit. In oneembodiment, the body of the third columnar section 209 may then includea sixth step instructing medical personnel to completely open kit usinga breakaway strip by initiating a tear following the arrows.

In one embodiment, the body of the third columnar section 209 may theninclude a seventh step instructing medical personnel to cleanse the areaaround a central catheter insertion site using an implement disposedwithin a first pocket of the dressing kit. This seventh step may includesubsteps such as “Use a back and forth motion using friction to cleansan area under the catheter and an area 3-4 centimeters for a minimum of30 seconds, and “Let air dry. DO NOT blot, fan or blow on the around thecatheter exit site to help it dry faster.” Other central catheterinsertion site cleansing steps will be obvious to those of ordinaryskill in the art having the benefit of this disclosure.

In one embodiment, the body of the third columnar section 209 may theninclude a seventh step instructing medical personnel to use an implementdisposed within a second pocket of the dressing kit to apply a skinprotectant. In one embodiment, the body of the third columnar section209 may then include a eighth step instructing medical personnel to usean implement disposed within a third pocket of the dressing kit to applyan impregnated disk around insertion site printed side up. The eighthstep may also include an instruction to apply a securement device tomake sure the catheter is locked in place.

In one embodiment, the body of the third columnar section 209 may theninclude a ninth step instructing medical personnel to use an implementdisposed within a fourth pocket of the dressing kit to measure adistance between the central catheter insertion site and a referencepoint to ensure that the central catheter has not been disturbed or itsplacement altered during the dressing replacement procedure. In oneembodiment, the body of the third columnar section 209 may then includea tenth step instructing medical personnel to use an implement disposedwithin a fifth pocket of the dressing kit to place a dressing so that itcovers the insertion site and securement device. It should be noted thatthese instructions are illustrative only, as others will be readilyobvious to those of ordinary skill in the art having the benefit of thisdisclosure.

It should be noted that the instructional material 201 disposed withinthe booklet defined by the printed label 102 is defined as medicalpersonnel instructions, as it is directed to medical personnel who areperforming the dressing change operation. However, embodiments of thedisclosure contemplate that it can be advantageous to include othertypes of instructions as well. For example, the inclusion ofinstructional material specifically targeted at a patient, rather thanmedical personnel, can further reduce the chance of CLABSI.

Turning now to FIG. 3, the wrap 101 has been opened and the dressing kit300 and patient instructional material 301 have been removed from thewrap 101. As will be shown in more detail below with reference to FIG.4, the patient instructional material 301 can include helpfulsuggestions or instructions for the patient into whom the centralcatheter is inserted. As shown in FIG. 3, in this illustrativeembodiment the patient instructional material 301 is separate anddistinct from the instructional material (201) directed toward medicalpersonnel. Accordingly, the patient instructional material 301 can begiven to the patient to keep.

In this illustrative embodiment, the patient instructional material 301is configured as a booklet. In one embodiment, the patient instructionalmaterial 301 is configured with a greeting card appearance. While someembodiments can provide patient instructional material 301 that is verystraightforward, informational, and clinical in nature, in theembodiment of FIG. 3 the patient instructional material 301 isconfigured as a greeting card.

Embodiments of the disclosure contemplate that when patientinstructional material is configured as plain text on a plain whitebackground it is less likely to be delivered to the patient. Medicalpersonnel may mistake it for the instructional material (201) directedto the procedure rather than the patient. However, by configuring thepatient instructional material 301 as a greeting card, such as with apleasant picture 302 of flowers or similar objects on the front andstylized text providing the information therein, it is more likely to begiven to the patient. Thus, configuring the patient instructionalmaterial 301 as a greeting card helps to reduce CLABSI.

In addition to a pleasant picture 302, the exterior of the patientinstructional material can include an inspirational phrase and/or one ormore aesthetically pleasing images. One example of an aestheticallyimage is a vase of flowers. Others will be obvious to those of ordinaryskill in the art having the benefit of this disclosure. For example,other aesthetically pleasing images could include puppies, sunsets,mountain streams, and so forth. In one or more embodiments, the patientinstructional materials may include a textual identifier informing thepatient of the purpose of the patient instructional materials.

The patient instructional materials 301 can include helpful suggestionsor instructions for the patient. The patient instructional material 301can be configured with a greeting card appearance to make theinformation more pleasantly received by a patient. Examples ofsuggestions or instructions that may be included in the patient portioninclude information on what a central catheter is, what the patientshould understand about the central catheter, how to reduce the chanceof getting an infection, information about infections commonlyassociated with central catheters, and symptoms of infections commonlyassociated with central catheters. Turning now to FIG. 4, one example ofa set of helpful suggestions suitable for use with one or moreembodiments of the disclosure.

As shown in FIG. 4, when the greeting card defined by the patientinstructional material 301 is opened, the interior can provide helpfulsuggestions 401 suitable for describing patient actions that help reducethe chances of CLABSI in conjunction with central catheter insertionsite dressing changes. The helpful suggestions 401 can include textonly. However, as was the case with the instructional material (201) formedical personnel, in many embodiments one or more pictorial images canbe included with the textual information to make the helpful suggestions401 more easily understandable.

In this illustrative embodiment, the helpful suggestions 401 arearranged in two columnar sections 302,302, arranged on opposite sides ofa fold 304 within a colorful banner 305. In this illustrativeapplication, the two columnar sections 302,303 provide suggestions orinstructions regarding what a central catheter is, what the patientshould understand about the central catheter, how to reduce the chanceof getting an infection, information about infections commonlyassociated with central catheters, and symptoms of infections commonlyassociated with central catheters.

In this illustrative embodiment, the two columnar sections 302,303include only text. IN one embodiment, the first columnar section 302includes the following illustrative text: “Here is some simpleinformation about your central line catheter. A central venous catheteris a small flexible tube that has been inserted into a large vein. APICC line (peripherally inserted cardiac catheter) is a similar smalltube that is inserted into your arm and threaded up towards your heart.There may be one or several ports (known as “lumens”) that may be usedto give fluids, nutrients, medicine, and other blood products. It canalso be used to draw blood without pricking you again.” In oneillustrative embodiment, the second columnar section 303 includes thefollowing illustrative text: “Remember to keep your dressing dry andintact. Alert your nurse or care provider if the dressing becomes wet,or there is moisture or blood underneath. This dressing should bechanged every 7 days or if the dressing is loose, damp, or soiled. Avoidtouching or handling of the dressing, lumens, or securement device. Yourcare provider should perform hand hygiene before administering care ator around the site. If the insertion site appears red, or you experiencesudden fever or chills, tell your care provider right away.”

The above information on the patient instructional materials 301 and/orthe instructional materials 201 can be printed in multiple languages,such as in Spanish or in English. Further, alternatives and variationsof the information can be substituted for the example set forth above.It should be noted that these instructions are illustrative only, asothers will be readily obvious to those of ordinary skill in the arthaving the benefit of this disclosure.

Turning now to FIG. 5, once the patient instructional material (301) hasbeen given to the patient and the wrap (101) discarded, the dressing kit300 remains. As shown in FIG. 5, in one embodiment the dressing kit 300comprises a folded drape 501 that is sealed with a breakaway strip 502.In this illustrative embodiment, the breakaway strip 502 is adhesivelyaffixed to the folded drape 501 to keep a first upper exterior portion503 folded atop a second upper exterior portion 504. As will bedescribed in more detail below, in one or more embodiments some medicalimplements are disposed within more exterior folds while other medicalimplements are disposed within more interior folds. The breakaway strip502 ensures that those items stowed within the more exterior folds aresecurely retained within the folded drape 501 until needed.

In one embodiment, the folded drape 501 is opaque. The folded drape 501can be color-coded to indicate that it is designed for a particularprocedure as well. For example, a particular color such as blue mayindicate that the dressing kit 300 is to be used for a central catheterinserted into a patient's chest, while a green drape may indicate thatthe dressing kit it to be used with a peripherally inserted centralcatheter. Other color codings will be obvious to those of ordinary skillin the art having the benefit of this disclosure.

In one embodiment, the folded drape 501 can be manufactured from anytype of flat cloth, including those manufactured from any of wovenmaterials, nonwoven materials, or combinations thereof. Examples ofnonwoven materials include spunbound materials, meltblown materials, orcombinations thereof. Such materials are well known in the art.Additionally, the material weight of the folded drape 501 can vary aswell. For example, in one illustrative embodiment the folded drape ismanufactured from a non-woven material having a weight of between tenand one hundred grams per square meter.

In another embodiment, the folded drape 501 can be manufactured from60-gram, plus or minus two grams, spunbond-meltblown-spunbond material.Other materials can be used for the folded drape 501, including, forexample, various woven, non-woven, hydroentangled materials, and/orcombinations thereof, absorbent Airlaid, spunlace, blends of polyester,polypropylene, polyethylene, urethane, and/or combinations thereof,using various methods, including a spunbond meltblown spundbond (SMS)method, a spunbond meltblown metlblown spundbond method (SMMS), and aspunbond metlblown metlblown meltblownspundbond method (SMMMS). Othermaterials, such as plastic, cotton, linen, paper, or combinationsthereof, can be substituted.

These materials and methods are illustrative only, as others will bereadily apparent to those of ordinary skill in the art having thebenefit of this disclosure. For example, one or more antimicrobiallayers can be added to the folded drape 501 to further enhanceantimicrobial protection. Additionally, the material can optionallyinclude and water resistant lining that prevents the passage of fluidsthrough the material of the folded drape 501. In one or moreembodiments, the folded drape 501, when unfolded, has a length ofbetween sixteen and twenty centimeters, such as about seventeen and ahalf centimeters plus or minus an inch. In one embodiment, the patientdrape has a width of between nineteen and twenty three centimeters, suchas about twenty-one and a half centimeters, plus or minus one inch.

In one or more embodiments, the breakaway strip 502 includes bothinstructional indicia 505 for opening the folded drape 501 and severtargets 506. In this embodiment, the instructional indicia 505 comprisesa pictorial representation of how a finger can be used to separate thebreakaway strip 502 by tearing along the sever targets 506. In thisillustrative embodiment, the sever targets 506 comprise three solidarrows that follow a severing wedge circumscribing the words “tearhere.” While this is one embodiment of sever targets in accordance withembodiments of the disclosure, others will be obvious to those ofordinary skill in the art having the benefit of this disclosure. A useropens the initial fold of the folded drape 501 by placing their fingerat the severing wedge and tearing the breakaway strip along a linedefined by the three solid arrows.

Turning now to FIG. 6, once the breakaway strip 502 is severed, thefirst upper exterior portion 503 of the folded drape can be unfoldedfrom atop a second upper exterior portion 504 to transform the foldeddrape (501) into a first partially folded drape 601. As subsequentfigures are described, the folded drape (501) transforms to a firstpartially folded drape 601, a second partially folded drape, a thirdpartially folded drape, and so forth, until finally transforming into afully unfolded drape as shown in FIG. 13, or alternatively in FIGS.19-20. Accordingly, the unfolding steps described in thesetransformations represent process descriptions and/or flow charts of oneor more methods for transforming the folded drape (501) into an unfoldeddrape for use. Additionally, these steps or processes can be performedin reverse order to construct the folded drape (501) from an initiallyfolded drape. Thus, methods and descriptions for these processes havebeen described herein. Further, it is expected that one of ordinaryskill, notwithstanding possibly significant effort and many designchoices motivated by, for example, available time, current technology,and economic considerations, when guided by the concepts and principlesdisclosed herein will be readily capable of performing such methods withminimal experimentation.

In one or more embodiments, the initial unfolding step from theconfiguration of the folded drape (501) reveals first medical indicia602. As noted above, in one or more embodiments elements of the medicalkit (100) can include medical indicia 602 affixed thereto comprising oneor more educational prompts 603,604,605 that instruct medical personnelregarding how to use a particular element or device of the medical kit(100). Such is the case here. In this illustrative embodiment, theeducational prompts 603,604,605 features animations and/or instructionsthat teach medical personnel how, when, and in what order to use aparticular medical implement.

In the embodiment of FIG. 6, the first educational prompt 603 instructsmedical personnel to don a surgical mask. The first educational prompt603 of this embodiment illustrates a medical services provider 606holding a surgical mask 607 with their hands 608 right before placingthe surgical mask 607 over their mouth and nose. Advantageously, the useof an animated instruction as the first educational prompt 603 ensuresthat the instructions embodied therein transcend language barriers.Regardless of the language spoken, medical personnel will readilyunderstand that the animation of a medical services provider 606 holdinga surgical mask 607 with their hands 608 right before placing thesurgical mask 607 over their mouth and nose is an instruction to don asurgical mask.

Similarly, the second educational prompt 604 provides an animation ofthe application of liquid hand sanitizer 609 to the hands 608 of themedical service provider 606. The third educational prompt 605illustrates the medical service provider 606 donning gloves 610 overtheir hands 608.

The location of the medical indicia 602 can be important in manyapplications. In the illustrative embodiment of FIG. 6, due to the waythe folded drape (501) was folded with the a first upper exteriorportion 403 folded atop a second upper exterior portion 404, the onlylogical unfolding operation that can be performed is to unfold the firstupper exterior portion 403 of the folded drape (501) from atop a secondupper exterior portion 404 to transform the folded drape (501) into afirst partially folded drape 601. In this embodiment, the medicalindicia is disposed under the first upper exterior portion 403 so thatit is revealed and becomes immediately visible when the first upperexterior portion 403 of the folded drape (501) is unfolded from atop asecond upper exterior portion 404. This location does three things:First, it alerts medical personnel to the fact that medical devices arelikely to be revealed in the next unfolding step. Second, it preventsthe first partially folded drape 601 from being opened “upside down” bythe user in that the medical indicia can only be read when the firstpartially folded drape 601 is in one orientation. Third, it instructsmedical personnel regarding both what medical implements will berevealed in subsequent unfolding steps and in what order they should beused to preserve the sterile field required for central catheterdressing replacement. This latter function also works to prevent the useof medical devices in an improper order, which may contribute to thesterile field being compromised.

Turning now to FIG. 7, the second upper exterior portion 404 is unfoldedfrom atop a central exterior portion 704 to transform the firstpartially folded drape (601) into a second partially folded drape 701.In this illustrative embodiment, this second unfolding step from theconfiguration of the first partially folded drape (601) reveals amedical device cluster 702. Disposed atop the medical device cluster 702is a surgical mask 607. This is consistent with instruction provided bythe first educational prompt 603, which indicates that the first stepmedical personnel should take is donning the surgical mask 607.Accordingly, by unfolding the second upper exterior portion 404 fromatop a central exterior portion 704 to transform the first partiallyfolded drape (601) into a second partially folded drape 701, medicalpersonnel has instant access to the surgical mask 607 so that it can bedonned.

Turning now to FIG. 8, the surgical mask (607) has been removed from themedical device cluster 702 and donned in accordance with the instructionprovided by the first educational prompt 603. In one embodiment, thisreveals liquid hand sanitizer 609, which was disposed beneath thesurgical mask (607). Accordingly, removal of the surgical mask revealsthe liquid hand sanitizer, which is consistent with the instructionprovided by the second educational prompt 604 to apply hand sanitizerafter donning the surgical mask (607) and before donning gloves 610.

Turning now to FIG. 9, the liquid hand sanitizer (609) has been removedfrom the medical device cluster 702 and applied to the hands 608 inaccordance with the instruction provided by the second educationalprompt 604. In the illustrative embodiment of FIG. 9, this reveals apackage 901 of sterile rubber gloves 610, which was disposed beneath thepackage of liquid hand sanitizer (609). This step of revealing thepackage 901 of sterile rubber gloves 610 is consistent with theinstruction provided by the third educational prompt 605 to don rubbergloves 610 after applying the liquid hand sanitizer (609) to the hands(608).

In this illustrative embodiment, the package 901 in which the rubbergloves 610 are disposed comprises a folded package rather than a sealedpackage. Embodiments of the disclosure contemplate that if the package901 is sealed, a user may attempt to pick it up and tear it, potentiallyaway from the sterile field. To prevent this, in one embodiment thepackage 901 comprises a folded package with a central book fold 902 onone side of the package 901. Medical personnel may lift 903 the topportion 904 of the package 901 to unfold the central book fold 902.

Turning now to FIG. 10, illustrated therein is the package 901 oncefully opened. As shown in FIG. 10, the central book fold 902 is disposedbetween a first outer book fold 1001 and a second outer book fold 1002,respectively. In this illustration, each of the first outer book fold1001 and the second outer book fold 1002 has been opened to reveal tworubber gloves 1003,1004. Each of the rubber gloves 1003,1004 ispartially turned inside out to make donning the same simpler.Accordingly, by unfolding the central book fold 902, the first outerbook fold 1001, and the second outer book fold 1002, the rubber gloves1003,1004 are revealed so that they can be donned in accordance with theinstruction provided by the third educational prompt 605.

Just as the package 901 for the rubber gloves 1003,1004 comprised acentral book fold 902, so too does the second partially folded drape701. In this illustrative embodiment, the central book fold 1005 of thesecond partially folded drape 701 is disposed along the right side ofthe second partially folded drape 701. Medical personnel may lift 1006the top portion 1007 of the second partially folded drape 701 to unfoldthe central book fold 1005. The result, which is a third partiallyfolded drape 1101, is shown in FIG. 11.

Turning now to FIG. 11, in one or more embodiments the central book fold1005 of the second partially folded drape (701) of is disposed between afirst outer book fold 1102 and a second outer book fold 1103 of thethird partially folded drape 1101, respectively. As with the centralbook fold 1005, medical personnel may lift 1104 the top portion 1105 ofthe third partially folded drape 1101 to unfold the first outer bookfold 1102. The result, which is a fourth partially folded drape 1201, isshown in FIG. 12. It should be noted that, in one or more embodiments,additional use instructions or medical supplies can be disposed withinthese folds as was the case with the package (901) of rubber gloves(1003,1004) or the medical indicia (602) described above.

Turning now to FIG. 12, it can be seen that the first outer book fold1102 is disposed between the second outer book fold 1103 and a thirdouter book fold 1202. Additionally, the first outer book fold 1102 isdisposed between the third outer book fold 1202 and the central bookfold 1005. This type of folding ensures that a first indicia panel 1203is defined between the first outer book fold 1102 and the third outerbook fold 1202 onto the reverse side of which the medical indicia (602)may be attached. Medical personnel may lift 1204,1205 the top remainingportions 1206,1207 of the fourth partially folded drape 1201 to unfoldthe third outer book fold 1202 and the second outer book fold 1103,respectively. The result, which is an unfolded drape 1301, is shown inFIG. 13. An alternate unfolded drape will be discussed below withreference to FIGS. 19-20.

As shown in FIG. 13, the unfolded drape 1301 includes the drape 1323itself. In one embodiment, a series of pockets 1302,1303,1304,1305,1306,1307 disposed along the drape 1323 in a linear,side-by-side arrangement 1308 along a bottom edge 1309 of the unfoldeddrape 1301. In some embodiments, additional material 1324 could extendbeyond the sides of the series of pockets 1302,1303,1304,1305,1306 toensure that the contents in the series of pockets1302,1303,1304,1305,1306 remain sterile when the unfolded drape 1301 isfolded. Disposing each of the pockets 1302,1303,1304,1305,1306,1307along the base of the unfolded drape 1301 advantageously leaves amaximized, sterile work surface 1322 upon which medical personnel maywork when changing a central catheter insertion site dressing.

In this illustrative embodiment, the series of pockets1302,1303,1304,1305,1306,1307 comprises six pockets. In otherapplications, the number of pockets may be greater than six pockets, orfewer, depending upon application. For example, if the medical implement1313, i.e., the ruler, is not required, and the medical indicia 1319disposed on the fourth pocket 1305 instead includes instructions on howto use the gradients on the catheter to measure distances, this pocketmay be modified or eliminated. Other reconfigurations to the number orpurpose of the series of pockets 1302,1303,1304,1305,1306,1307 will beobvious to those of ordinary skill in the art having the benefit of thisdisclosure.

Each pocket holds a medical implement 1310, 1311,1312,1313,1314,1315 ona one-to-one basis, with those medical implements 1310,1311,1312,1313,1314,1315 arranged in accordance with a predefined order ofuse in a central catheter dressing change procedure. In otherembodiments, each pocket may hold multiple medical implements.Accordingly, medical personnel can start from the left, drawing a firstmedical implement 1310 from the first pocket 1302, and complete a firststep of the central catheter dressing change procedure. Medicalpersonnel can then move to the second pocket 1303, draw a second medicalimplement 1311, and so forth, to successfully complete the centralcatheter dressing change procedure.

In this illustrative embodiment, the series of pockets1302,1303,1304,1305,1306,1307 are formed and defined by thermallybonding a clear plastic film to the unfolded drape 1301. In otherembodiments, the series of pockets 1302,1303,1304,1305,1306,1307 areglued to the unfolded drape 1301. In still other embodiments, the seriesof pockets 1302,1303,1304,1305,1306,1307 are stitched to the unfoldeddrape 1301. Still other techniques for bonding the series of pockets1302,1303,1304,1305,1306,1307 to the unfolded drape 1301 will be obviousto those of ordinary skill in the art having the benefit of thisdisclosure.

It should be noted that the sizes and widths of the series of pockets1302,1303,1304,1305, 1306,1307 can be varied as well. For example,pocket 1306, which includes medical implement 1314, may be widened sothat this medical implement 1314 does not fold when the first outer bookfold (1102) is applied. Other modifications to the width and extent ofthe series of pockets 1302,1303,1304,1305,1306,1307 will be obvious tothose of ordinary skill in the art having the benefit of thisdisclosure.

In one embodiment, each pocket 1302,1303,1304,1305,1306,1307 has medicalindicia 1316,1317,1318,1319,1320,1321 attached thereto. The medicalindicia 1316,1317,1318,1319, 1320,1321 each comprise one or moreeducational prompts (described below with reference to FIGS. 14-18) thatinstruct medical personnel regarding how to use a particular medicalimplement disposed in a pocket to which the medical indicia is attached.Illustrating by example, medical indicia 1316, which is attached topocket 1302, comprises an educational prompt that instructs medicalpersonnel regarding how to use medical implement 1310, which is stowedin pocket 1302. Similarly, medical indicia 1317, which is attached topocket 1303, comprises one or more educational prompts instructingmedical personnel how to use medical implement 1311, and so forth. Aseach medical implement 1310, 1311,1312,1313,1314,1315 is stowed in eachpocket 1302,1303,1304,1305,1306,1307 on a one-to-one basis in thisembodiment, with those medical implements 1310,1311,1312,1313,1314, 1315arranged in accordance with a predefined order of use in a centralcatheter dressing change procedure, the medical indicia1316,1317,1318,1319,1320,1321 set forth—from left to right—the steps ofa method of changing a central catheter insertion site dressing inaccordance with a predefined procedure.

In this illustrative embodiment, medical implement 1310 comprises aChloraprep.sup™ one-step antiseptic tool that delivers a combination ofchlorhexidine gluconate and isopropyl alcohol. Medical implement 1311comprises swabs. Medical implement 1312 comprises an impregnated diskand securement device. Medical implement 1313 comprises a ruler. Medicalimplement 1314 comprises a central catheter insertion site bandagecovering. Medical implement 1314 comprises gauze padding. Where themedical kit (100) is configured for other medical procedures, thereplacement of these implements with others will be obvious to those ofordinary skill in the art having the benefit of this disclosure.

Turning now to FIG. 14, illustrated therein is first medical indicia1316 for using the first medical implement 1310 disposed within thefirst pocket (1302) of the unfolded drape (1301). In this illustrativeembodiment, the first medical indicia 1316 comprise a sticker or labeladhesively attached to the exterior of the first pocket (1302). In otherembodiments, the first medical indicia 1316 comprise a card disposedwithin the first pocket (1302) that is visible from the exterior side ofthe first pocket (1302). Other techniques for making the first medicalindicia 1316 visible from the exterior of the first pocket (1302) willbe obvious to those of ordinary skill in the art having the benefit ofthis disclosure. As noted above, in one embodiment the first medicalimplement 1310 is an antiseptic cleansing tool comprising a plastic bodyand a sponge head that receives antiseptic 1407 from the body to beapplied to the patient through the sponge head.

In this illustrative embodiment, the first medical indicia 1316comprises an animation 1401 that instructs medical personnel to applythe first medical implement 1310 to the central catheter insertion site1402 and to make lateral motions 1403 within an area 1404 about thecentral catheter insertion site 1402 to disperse the antiseptic 1407.The animation 1401 further instructs medical personnel to apply theantiseptic 1407 for at least thirty seconds, as indicated by a firstduration indication 1405. The animation 1401 then instructs medicalpersonnel to allow the antiseptic 1047 to dry for at least thirtyseconds, as indicated by second duration indication 1406. Note thatwhile this animation 1401 is for a central catheter 1408 inserted into apatient's chest, it could readily be converted for peripherally insertedcentral catheters by showing the patient's arm rather than the patient'schest.

Turning now to FIG. 15, illustrated therein is second medical indicia1317 for using the second medical implement (1311) disposed within thesecond pocket (1303) of the unfolded drape (1301). As noted above, inone embodiment the second medical implement (1311) disposed within thesecond pocket (1303) of the unfolded drape (1301) comprises one or moreswabs. In one embodiment, the one or more swabs are prewetted with anantibiotic 1502. In this illustrative embodiment, the second medicalindicia 1317 comprise an animation 1501 that instructs medical personnelto apply the antibiotic 1502 from the swab 1504 to the central catheterinsertion site 1402 within an area 1503 about the central catheterinsertion site 1402 to disperse the antibiotic 1502.

Turning now to FIG. 16, illustrated therein is third medical indicia1318 for using the third medical implement (1312) disposed within thethird pocket (1304) of the unfolded drape (1301). In one embodiment thethird medical implement (1312) disposed within the third pocket (1304)of the unfolded drape (1301) comprises two different implements: anantimicrobial impregnated disk 1602 and a central catheter linesecurement device 1603. In this illustrative embodiment, the thirdmedical indicia 1318 comprise an animation 1601 that instructs medicalpersonnel to place the antimicrobial impregnated disk 1602 about thecentral catheter insertion site 1402. In one embodiment, the animation1601 instructs medical personnel to place the antimicrobial impregnateddisk 1602 about the central catheter insertion site 1402 with theprinted side of the antimicrobial impregnated disk 1602 facing outwardto ensure that the antimicrobial impregnated disk 1602 stays affixedabout the central catheter insertion site 1402. In this illustrativeembodiment, the animation 1601 further instructs medical personnel tosecure the central catheter 1408 to the patient's chest with the centralcatheter line securement device 1603.

Turning now to FIG. 17, illustrated therein is fourth medical indicia1319 for using the fourth medical implement (1313) disposed within thefourth pocket (1305) of the unfolded drape (1301). In one embodiment thefourth medical implement (1313) comprises a ruler 1702. In thisillustrative embodiment, the fourth medical indicia 1319 comprise ananimation 1701 that instructs medical personnel to measure the distancebetween the central catheter insertion site 1402 and the central portionof the central catheter line securement device 1603 to ensure that thecentral catheter has not been pushed into, or pulled out of, thepatient's chest.

Turning now to FIG. 18, illustrated therein is fifth medical indicia1320 for using the fifth medical implement (1314) disposed within thefifth pocket (1306) of the unfolded drape (1301). In one embodiment thefifth medical implement (1314) comprises a central catheter insertionsite bandage covering 1802. In this illustrative embodiment, the fifthmedical indicia 1320 comprise an animation 1801 that instructs medicalpersonnel to place the central catheter insertion site bandage covering1802 over the central catheter insertion site 1402 to complete thecentral catheter dressing replacement process.

It should be noted that the animations and instructions described abovewith reference to FIGS. 14-18 are illustrative only. Others could besubstituted where the medical kit (100) is configured for a differenttype of procedure. Still others will be readily apparent to those ofordinary skill in the art having the benefit of this disclosure. It willbe clear that these animations and instructions described above withreference to FIGS. 14-18, and the information printed thereon, can bevaried in any number of ways without departing from the spirit and scopeof the disclosure as described herein and recited in the followingclaims. For example, the number of animations and instructions describedabove with reference to FIGS. 14-18 can be varied. Additionally, theinformation printed thereon can be condensed, expanded, or alteredwithout departing from the spirit and scope of the disclosure. Also, theexemplary information may be moved from the panels shown to otherpanels, as a particular application may warrant.

Just as the animations an instructions described above with reference toFIGS. 14-18 can be varied and can take different forms, so too can theunfolded drape to which the animations and instructions are attached, soto can the unfolded drape. The example described above with reference toFIG. 13 was an illustrative example only. Turning now to FIGS. 19-20,illustrated therein is another unfolded drape 1900 in accordance withone or more embodiments of the disclosure. FIG. 19 illustrates a firstside 1901 of the unfolded drape 1900, while FIG. 20 illustrates a secondside 2001 of the unfolded drape 1900.

As shown in FIG. 19, the unfolded drape 1900 includes a layer of drapematerial 1902. In one embodiment, a series of pockets1903,1904,1905,1906,1907 disposed along the layer of drape material1902. The unfolded drape 1900 can be folded along three fold lines1908,1909,1910 to for a folded drape as previously described.

In one embodiment, the series of pockets 1903,1904,1905,1906,1907 isarranged in a linear, side-by-side arrangement 1918 along a bottom edge1919 of the unfolded drape 1900. In this illustrative embodiment,additional material 1924,1925 extends beyond the sides of the series ofpockets 1903,1904,1905,1906,1907 to ensure that the contents in theseries of pockets 1903,1904,1905,1906,1907 remain sterile when theunfolded drape 1900 is folded. In one embodiment, the additionalmaterial 1924,1925 comprises about three centimeters of materialextending beyond the first pocket 1903 and the fifth pocket 1907 asshown. As noted above, disposing each of the pockets1903,1904,1905,1906,1907 along the base of the unfolded drape 1900advantageously leaves a maximized, sterile work surface upon whichmedical personnel may work when changing a central catheter insertionsite dressing.

In this illustrative embodiment, the series of pockets1903,1904,1905,1906,1907 comprises only five pockets. This is incontrast to the six pockets described above with reference to FIG. 13.However, as shown in FIG. 20, in one embodiment the unfolded drapeincludes two pockets 2002,2003 on the rear side of the unfolded drape1900 as well. In one embodiment, rear pocket 2003 can be disposed at theexact same location as pocket 1906, but on the second side 2001 of theunfolded drape 1900. This allows a single heat sealing operation toattach both pocket 1906 and pocket 2003.

These rear side pockets 2002,2003 can be used to hold the implementsdescribed above with reference to FIGS. 7-9. Illustrating by example,implements included with the medical device cluster (702), such as thesurgical mask (607), the liquid hand sanitizer (609), or the package(901) of sterile rubber gloves (610) can be placed within the pockets2002,2003 on the second side 2001 of the unfolded drape 1900 so thatthey remain in place when the folded medical drape is unfolded. Forinstance, the surgical mask (607) and the liquid hand sanitizer (609)could be placed in the upper pocket 2002, while the package (901) ofrubber gloves (610) is placed in the lower pocket 2003. Additionally, aspreviously described, one or more educational prompts can be placed onthe pockets 2002,2003 disposed pm the second side 2001 of the unfoldeddrape 1900 as well. Thus, in one embodiment first medical indicia arecoupled to one or more of the pockets 2002,2003 so as to be revealedwhen the first upper exterior portion of a folded drape is unfolded fromatop the second upper exterior portion as previously described.

In one embodiment, each of the pockets 2002,2003 has a width 2004 ofabout 20 centimeters so as to retain components of the medical devicecluster (702). In one embodiment, the pockets 2002,2003 have a height2005 of about nine centimeters. In this illustrative embodiment, theupper pocket 2002 has its base 2006 disposed a distance 2007 of abouttwenty-four centimeters from the upper side of the unfolded drape 1900.In one embodiment, each pocket 2002,2003 is disposed a distance 2008 ofabout thirteen centimeters from the left side of the unfolded drape1900. In this illustrative embodiment, the unfolded drape has a width ofabout sixty centimeters and a height of about forty-five centimeters.

Turning back to the first side 1901 of the unfolded drape 1900, each ofthe series of pockets 1903,1904,1905,1906,1907 can be configured toreceive one or more medical implements as previously described. In thisillustrative embodiment, medical implement (1313), i.e., the ruler, isnot required. Accordingly, the number of pockets1903,1904,1905,1906,1907 has been reduced from six to five.

Each pocket 1903,1904,1905,1906,1907 is configured to hold a medicalimplement (1310, 1311,1312,1314,1315) on a one-to-one basis. In oneembodiment, those medical implements (1310,1311,1312, 1314,1315) arearranged in accordance with a predefined order of use in a centralcatheter dressing change procedure. In other embodiments, each pocket1903,1904,1905,1906,1907 may hold multiple medical implements.Accordingly, medical personnel can start from the left, drawing a firstmedical implement (1310) from the first pocket 1903, and complete afirst step of the central catheter dressing change procedure. Medicalpersonnel can then move to the second pocket 1904, draw a second medicalimplement (1311), and so forth, to successfully complete the centralcatheter dressing change procedure.

In this illustrative embodiment, the series of pockets1903,1904,1905,1906,1907 are formed and defined by thermally bonding aclear plastic film to the unfolded drape 1900. As noted above, othertechniques for bonding the series of pockets 1903,1904,1905,1906,1907 tothe unfolded drape 1900 will be obvious to those of ordinary skill inthe art having the benefit of this disclosure.

It should be noted that the sizes and widths of the series of pockets1903,1904,1905,1906, 1907 can be varied as well. For example, in thisillustrative embodiment the first pocket 1903 is six centimeters wide,while the second pocket 1904 is eight centimeters wide. The third pocket1905 is ten centimeters wide, as is the fifth pocket 1906. In thisillustrative embodiment, the fourth pocket 1906 is twenty centimeterswide. Each pocket 1903,1904,1905,1906,1907 is nine centimeters deep.Other widths and extents of the series of pockets1903,1904,1905,1906,1907 will be obvious to those of ordinary skill inthe art having the benefit of this disclosure.

In one embodiment, each pocket 1903,1904,1905,1906,1907 has medicalindicia (1316,1317,1318,1320,1321) attached thereto. The medical indicia(1316,1317,1318,1320,1321) can each comprise one or more educationalprompts (described above with reference to FIGS. 14-18) that instructmedical personnel regarding how to use a particular medical implementdisposed in a pocket to which the medical indicia is attached.Illustrating by example, medical indicia (1316), which can be attachedto pocket 1903, can comprise an educational prompt that instructsmedical personnel regarding how to use medical implement (1310), whichcan be stowed in pocket 1903. Similarly, medical indicia (1317), whichcan be attached to pocket 1904, can comprise one or more educationalprompts instructing medical personnel how to use medical implement(1311), and so forth.

Turning now to FIGS. 21-22, illustrated therein is yet another unfoldeddrape 2100 in accordance with one or more embodiments of the disclosure.FIG. 21 illustrates a first side 2101 of the unfolded drape 2100, whileFIG. 22 illustrates a second side 2201 of the unfolded drape 2100. Theunfolded drape 2200 of FIGS. 21 and 22 is similar to that of FIGS.19-20. However, rather than having pockets 2103,2104,2105,2106,2107disposed along a lower edge 2119, there is a separation area 2126between the pockets 2103,2104,2105,2106,2107 and the lower edge 2119 ofabout three centimeters.

As shown in FIG. 21, the unfolded drape 2100 includes a layer of drapematerial 2102. In one embodiment, a series of pockets2103,2104,2105,2106,2107 disposed along the layer of drape material2102. The unfolded drape 2100 can be folded along three fold lines2108,2109,2110 to for a folded drape as previously described.

In one embodiment, the series of pockets 2103,2104,2105,2106,2107 isarranged in a linear, side-by-side arrangement 2118, separated from abottom edge 2119 of the unfolded drape 2100 by a distance 2127 of aboutthree centimeters. In this illustrative embodiment, additional material2124,2125 also extends beyond the sides of the series of pockets2103,2104,2105,2106,2107 to ensure that the contents in the series ofpockets 2103,2104,2105,2106,2107 remain sterile when the unfolded drape2100 is folded. In one embodiment, the additional material 2124,2125comprises about three centimeters of material extending beyond the firstpocket 2103 and the fifth pocket 2107 as shown. As noted above,disposing each of the pockets 2103,2104,2105,2106,2107 along the base ofthe unfolded drape 1900 advantageously leaves a maximized, sterile worksurface upon which medical personnel may work when changing a centralcatheter insertion site dressing.

In this illustrative embodiment, the series of pockets2103,2104,2105,2106,2107 comprises five pockets. As shown in FIG. 22, inone embodiment the unfolded drape includes two pockets 2202,2203 on therear side of the unfolded drape 2100 as well. In one embodiment, rearpocket 2203 can be disposed at the exact same location as pocket 2106,but on the second side 2201 of the unfolded drape 2100. This allows asingle heat-sealing operation to attach both pocket 2106 and pocket2203.

These rear side pockets 2202,2203 can be used to hold the implementsdescribed above with reference to FIGS. 7-9. Illustrating by example,implements included with the medical device cluster (702), such as thesurgical mask (607), the liquid hand sanitizer (609), or the package(901) of sterile rubber gloves (610) can be placed within the pockets2202,2203 on the second side 2201 of the unfolded drape 2100 so thatthey remain in place when the folded medical drape is unfolded. Forinstance, the surgical mask (607) and the liquid hand sanitizer (609)could be placed in the upper pocket 2202, while the package (901) ofrubber gloves (610) is placed in the lower pocket 2203. Additionally, aspreviously described, one or more educational prompts can be placed onthe pockets 2202,2203 disposed pm the second side 2201 of the unfoldeddrape 2100 as well. Thus, in one embodiment first medical indicia arecoupled to one or more of the pockets 2202,2203 so as to be revealedwhen the first upper exterior portion of a folded drape is unfolded fromatop the second upper exterior portion as previously described.

In one embodiment, each of the pockets 2202,2203 has a width 2204 ofabout twenty centimeters so as to retain components of the medicaldevice cluster (702). In one embodiment, the pockets 2202,2203 have aheight 2205 of about nine centimeters. In this illustrative embodiment,the upper pocket 2202 has its base 2206 disposed a distance 2207 ofabout twenty-four centimeters from the upper side of the unfolded drape2100. In one embodiment, each pocket 2202,2203 is disposed a distance2208 of about thirteen centimeters from the left side of the unfoldeddrape 2100. In this illustrative embodiment, the unfolded drape has awidth of about sixty-two centimeters and a height of about forty-fivecentimeters.

Turning back to the first side 2101 of the unfolded drape 2100, each ofthe series of pockets 2103,2104,2105,2106,2107 can be configured toreceive one or more medical implements as previously described. In thisillustrative embodiment, medical implement (1313), i.e., the ruler, isnot required. Accordingly, the number of pockets2103,2104,2105,2106,2107 has been reduced from six to five.

Each pocket 2103,2104,2105,2106,2107 is configured to hold a medicalimplement (1310, 1311,1312,1314,1315) on a one-to-one basis. In oneembodiment, those medical implements (1310,1311,1312, 1314,1315) arearranged in accordance with a predefined order of use in a centralcatheter dressing change procedure. In other embodiments, each pocket2103,2104,2105,2106,2107 may hold multiple medical implements.Accordingly, medical personnel can start from the left, drawing a firstmedical implement (1310) from the first pocket 2103, and complete afirst step of the central catheter dressing change procedure. Medicalpersonnel can then move to the second pocket 2104, draw a second medicalimplement (1311), and so forth, to successfully complete the centralcatheter dressing change procedure.

In this illustrative embodiment, the series of pockets2103,2104,2105,2106,2107 are formed and defined by thermally bonding aclear plastic film to the unfolded drape 2100. As noted above, othertechniques for bonding the series of pockets 2103,2104,2105,2106,2107 tothe unfolded drape 2100 will be obvious to those of ordinary skill inthe art having the benefit of this disclosure.

It should be noted that the sizes and widths of the series of pockets2103,2104,2105,2106, 2107 can be varied as well. For example, in thisillustrative embodiment the first pocket 2103 is six centimeters wide,while the second pocket 12104 is ten centimeters wide. The third pocket2105 is ten centimeters wide, as is the fifth pocket 2106. In thisillustrative embodiment, the fourth pocket 2106 is twenty centimeterswide. Each pocket 2103,2104,2105,2106,2107 is nine centimeters deep.Other widths and extents of the series of pockets2103,2104,2105,2106,2107 will be obvious to those of ordinary skill inthe art having the benefit of this disclosure.

In one embodiment, each pocket 2103,2104,2105,2106,2107 has medicalindicia (1316,1317,1318,1320,1321) attached thereto. The medical indicia(1316,1317,1318,1320,1321) can each comprise one or more educationalprompts (described above with reference to FIGS. 14-18) that instructmedical personnel regarding how to use a particular medical implementdisposed in a pocket to which the medical indicia is attached.Illustrating by example, medical indicia (1316), which can be attachedto pocket 2103, can comprise an educational prompt that instructsmedical personnel regarding how to use medical implement (1310), whichcan be stowed in pocket 1903. Similarly, medical indicia (1317), whichcan be attached to pocket 2104, can comprise one or more educationalprompts instructing medical personnel how to use medical implement(1311), and so forth.

Turning now to FIGS. 23-24, illustrated therein is yet another unfoldeddrape 2300 in accordance with one or more embodiments of the disclosure.FIG. 23 illustrates a first side 2301 of the unfolded drape 2300, whileFIG. 24 illustrates a second side 2401 of the unfolded drape 2400. Theunfolded drape 2400 of FIGS. 23 and 24 is somewhat similar to that ofFIGS. 21-22. However, rather than having five pockets(2103,2104,2105,2106,2107), the unfolded drape 2300 of FIGS. 23-24includes four pockets 2303,2304,2305,2306. As with the embodiment ofFIGS. 21-22, the four pockets 2303,2304,2305,2306 are disposed apredefined distance 2326 from a bottom edge 2319 of the unfolded drape2300. In one embodiment, the predefined distance 2326 is about fivecentimeters, plus or minus 0.5 centimeters.

As shown in FIG. 23, the unfolded drape 2300 includes a layer of drapematerial 2302. In one embodiment, the layer of drape material 2302 isabout sixty-four centimeters wide and about forty-two centimeters tall.

In one embodiment, the four pockets 2303,2304,2305,2306 are thermallybonded with a heat seal to, and along, the layer of drape material 2302.In this illustrative embodiment, the unfolded drape 2300 includes fourfold lines: a first fold line 2308, a second fold line 2309, a thirdfold line 2310, and a fourth fold line 2311. In this illustrativeembodiment, the first fold line 2308 and the second fold line 2309 areparallel to each other, and are substantially orthogonal orperpendicular to the third fold line 2310 and the fourth fold line 2311,respectively. Similarly, in this illustrative embodiment, the third foldline 2311 and the fourth fold line 2311 are parallel to each other, andare substantially orthogonal or perpendicular to the first fold line2308 and the second fold line 2309.

In one embodiment, the four pockets 2303,2304,2305,2306 are arranged ina linear, side-by-side arrangement 2318, separated from a bottom edge2319 of the unfolded drape 2300 by a predefined distance 2326 of aboutfive centimeters. In one embodiment, the four pockets2303,2304,2305,2306 are arranged such that each pocket abuts at leastone adjacent pocket at a common border. Illustrating by example, pocket2303 abuts pocket 2304 at common border 2330, while pocket 2304 abutspocket 2305 at common border 2331, and so forth. In this illustrativeembodiment, the third fold line 2310 and the fourth fold line 2311 aresubstantially parallel with the common borders 2330,2331 betweenadjacent pockets, while the first fold line 2308 and the second foldlien 2309 are substantially perpendicular with the common borders2330,2331. Additionally, in this illustrative embodiment the third foldline 2310 is collinear with common border 2330, while the fourth foldline 2311 is collinear with common border 2332.

In one or more embodiments, some of the four pockets 2303,2304,2305,2306are wider than others. For example, in this illustrative embodiment,pocket 2303 and pocket 2305 are wider than are pocket 2304 and pocket2306. In one embodiment, pocket 2303 and pocket 2305 are about nineteencentimeters wide, while pocket 2304 is about seven centimeters wide andpocket 2306 is about nine centimeters wide. Accordingly, in thisembodiment two pockets 2303,2305 of the four pockets 2303,2304,2305,2306are wider than two other pockets 2304,2306 of the four pockets2303,2304,2305,2306. In one embodiment, each of the four pockets2303,2304,2305,2306 is about nine centimeters deep. In this illustrativeembodiment, the four pockets 2303,2304,2305,2306 are manufactured from aclear plastic film that is thermally bonded to the unfolded drape 2300.

In one or more embodiments, the unfolded drape 2300 extends, in alldirections, beyond a perimeter 2333 of the four pockets2303,2304,2305,2306. In this illustrative embodiment, additionalmaterial 2324,2325 extends beyond the sides of the four pockets2303,2304,2305,2306 to ensure that the contents in the four pockets2303,2304,2305,2306 remain sterile when the unfolded drape 2300 isfolded. Similarly, additional material 2135 extends beyond the bottom ofthe four pockets 2303,2304,2305,2306, while additional material 2135extends beyond the top of the four pockets 2303,2304,2305,2306. Thisextension in four directions from the four pockets 2303,2304,2305,2306results in an extension in all directions from the perimeter 2333 of thefour pockets 2303,2304,2305,2306. In one embodiment, the additionalmaterial 2124,2125 comprises about five centimeters of materialextending beyond pocket 2303 and the pocket 2306 as shown.

As shown in FIG. 24, in one embodiment the unfolded drape 2300 includesone pocket 2402 on the rear side of the unfolded drape 2300 as well. Inone embodiment, the pocket 2402 on the rear side has a width 2404 ofabout nineteen centimeters and a depth 2405 of about nine centimeters.

As shown in FIG. 24, in this illustrative embodiment the pocket 2402disposed on the rear side of the unfolded drape 2300 is rotated 180degrees relative to the four pockets 2303,2304,2305,2306 disposed on thefront of the unfolded drape 2300. Said differently, as viewed in FIG.23, each of the four pockets 2303,2304,2305,2306 opens up. By contrast,as viewed in FIG. 24, the pocket 2402 disposed on the rear side of theunfolded drape 2300 opens down.

In one or more embodiments, the pocket 2402 disposed on the rear side ofthe unfolded drape 2300 can be used to hold one or more of theimplements described above with reference to FIGS. 7-9. Illustrating byexample, implements included with the medical device cluster (702), suchas the surgical mask (607), the liquid hand sanitizer (609), or thepackage (901) of sterile rubber gloves (610) can be placed within thepocket 2402 on the second side 2301 of the unfolded drape 2300 so thatthey remain in place when the folded medical drape is unfolded. Forinstance, the surgical mask (607) and the liquid hand sanitizer (609)could be placed in the pocket 2402. Alternatively, the package (901) ofrubber gloves (610) can placed in the pocket 2402. Additionally, aspreviously described, one or more educational prompts can be placed onthe pocket 2402 disposed on the second side 2401 of the unfolded drape2300 as well. Thus, in one embodiment first medical indicia are coupledto the pocket 2402 so as to be revealed when the drape is unfolded.

In this illustrative embodiment, the pocket 2402 has its base 2406disposed a distance 2407 of about twenty-eight centimeters from theupper side of the unfolded drape 2300. In one embodiment, the pocket2402 is disposed a distance 2408 of about 17.5 centimeters from the leftside of the unfolded drape 2300.

Turning back to the first side 2301 of the unfolded drape 2300, each ofthe four pockets 2303,2304,2305,2306 can be configured to receive one ormore medical implements as previously described. In this illustrativeembodiment, neither medical implement (1313), i.e., the ruler, normedical implement (1315), i.e., the extra items, is required.Accordingly, the number of pockets has been reduced from six to four.

In one or more embodiments, each pocket of the four pockets2303,2304,2305,2306 is configured to hold a medical implement (1310,1311,1312,1314) on a one-to-one basis. In other embodiments, each pocketof the four pockets 2303,2304,2305,2306 is configured to hold more thanone medical implement (1310, 1311,1312,1314). In one embodiment, thosemedical implements (1310,1311,1312, 1314) are arranged in accordancewith a predefined order of use in a central catheter dressing changeprocedure. In another embodiment, those medical implements(1310,1311,1312, 1314) are arranged in accordance with a predefinedorder of use in a peripheral intravenous catheter insertion sitedressing change procedure. In other embodiments, each pocket of the fourpockets 2303,2304,2305,2306 may hold multiple medical implements.Accordingly, medical personnel can start from the left, drawing a firstmedical implement (1310) from the first pocket 2303, and complete afirst step of the central catheter dressing change procedure, theintravenous catheter insertion site dressing change procedure, or otherprocedure. Medical personnel can then move to the second pocket 2304,draw a second medical implement (1311), and so forth, to successfullycomplete the central catheter dressing change procedure, the intravenouscatheter insertion site dressing change procedure, or other procedure.

In this illustrative embodiment, the four pockets 2303,2304,2305,2306are formed and defined by thermally bonding a clear plastic film to theunfolded drape 2300. As noted above, other techniques for bonding thefour pockets 2303,2304,2305,2306 and the other pocket 2402 to theunfolded drape 2300 will be obvious to those of ordinary skill in theart having the benefit of this disclosure. It should be noted that thesizes and widths of the four pockets 2303,2304,2305,2306 can be variedas well.

In one embodiment, each pocket of the four pockets 2303,2304,2305,2306has medical indicia (1316,1317,1318,1320) attached thereto. The medicalindicia (1316,1317,1318,1320) can each comprise one or more educationalprompts (described above with reference to FIGS. 14-18) that instructmedical personnel regarding how to use a particular medical implementdisposed in a pocket to which the medical indicia is attached.Illustrating by example, medical indicia (1316), which can be attachedto pocket 2303, can comprise an educational prompt that instructsmedical personnel regarding how to use medical implement (1310), whichcan be stowed in pocket 2303. Similarly, medical indicia (1317), whichcan be attached to pocket 2304, can comprise one or more educationalprompts instructing medical personnel how to use medical implement(1311), and so forth.

Turning now to FIGS. 25-28, illustrated therein are one or more methodsteps for folding the unfolded drape (2300) to form a folded drape 2800.Beginning with FIG. 25, a first portion 2501 of the unfolded drape 2300is folded with a book fold 2502 about the fourth fold line 2311 to forma partially folded drape 2500. In FIG. 26, a second portion 2601 of theunfolded drape (2300) is folded with a second book fold 2602 about thethird fold line 2310, toward the first portion 2501 of the partiallyfolded drape (2500) to form another partially folded drape 2600.

Turning to FIG. 27, a third portion 2701 of the unfolded drape 2300 isfolded with third book fold 2702 along the first fold line 2309 towardthe top of the partially folded drape (2600). When this occurs, itinverts the four pockets (2303,2304,2305,2306). Additionally, it invertsthe pocket 2402 disposed on the second side of the drape, making itaccessible. Once this is done, as shown in FIG. 28, a fourth portion2801 of the unfolded drape (2300) is folded with a fourth book fold 2802about the second fold line 2308 to cause the fourth portion 2801 of theunfolded drape (2300) to cover the inverted four pockets(2303,2304,2305,2306). This results in a folded drape 2800.

In the foregoing specification, specific embodiments of the presentinvention have been described. However, one of ordinary skill in the artappreciates that various modifications and changes can be made withoutdeparting from the scope of the present invention as set forth in theclaims below. Thus, while preferred embodiments of the invention havebeen illustrated and described, it is clear that the invention is not solimited. Numerous modifications, changes, variations, substitutions, andequivalents will occur to those skilled in the art without departingfrom the spirit and scope of the present invention as defined by thefollowing claims. Accordingly, the specification and figures are to beregarded in an illustrative rather than a restrictive sense, and allsuch modifications are intended to be included within the scope ofpresent invention. The benefits, advantages, solutions to problems, andany element(s) that may cause any benefit, advantage, or solution tooccur or become more pronounced are not to be construed as a critical,required, or essential features or elements of any or all the claims.

What is claimed is:
 1. A medical kit, comprising: a drape; a pluralityof pockets disposed a predefined distance from a bottom edge of a firstside of the drape in a linear, side-by-side arrangement, wherein eachpocket of the plurality of pockets abuts at least one adjacent pocket ata common border; a plurality of medical implements, stowed in theplurality of pockets; one or more other pockets disposed along a secondside of the drape, wherein the one or more other pockets are rotated 180degrees relative to the each pocket of the plurality of pockets; andmedical indicia disposed along each pocket of the plurality of pockets.2. The medical kit of claim 1, the medical indicia comprising one ormore educational prompts.
 3. The medical kit of claim 2, the educationalprompts instructing how to use a particular medical implement disposedin a pocket.
 4. The medical kit of claim 1, the drape folded with afirst book fold along a first fold line and a second book fold along asecond fold line to define a partially folded drape, wherein the firstfold line and the second fold line are parallel with the common border.5. The medical kit of claim 4, the drape further folded with a thirdbook fold along a third fold line that is orthogonal with both the firstfold line and the second fold line, wherein the third book fold invertsthe plurality of pockets.
 6. The medical kit of claim 5, the drapefurther folded with a fourth book fold along a fourth fold line that isparallel with third fold line, wherein the fourth book fold causes aportion of the drape to cover the plurality of pockets, which have beeninverted by the third book fold.
 7. The medical kit of claim 6, furthercomprising one or more of a surgical mask, liquid hand sanitizer,gloves, or combinations thereof disposed in the one or more otherpockets.
 8. The medical kit of claim 7, further comprising first medicalindicia coupled to the one or more other pockets that is revealed when afirst upper exterior portion is unfolded from atop a second upperexterior portion.
 9. The medical kit of claim 8, the first medicalindicia instructing donning the surgical mask, applying the liquid handsanitizer, donning the gloves, or combinations thereof.
 10. The medicalkit of claim 6, wherein the plurality of pockets comprises only fourpockets.
 11. The medical kit of claim 10, wherein the drape extends, inall directions, beyond a perimeter of the plurality of pockets.
 12. Themedical kit of claim 11, wherein two pockets of the plurality of pocketsare wider than two other pockets of the plurality of pockets.
 13. Themedical kit of claim 12, the drape sealed within a wrap.
 14. The medicalkit of claim 12, the plurality of pockets manufactured from a clearplastic film thermally bonded to the drape.
 15. The medical kit of claim14, the one or more other pockets comprising a single pocket.
 16. Amedical kit, comprising: a drape; and four pockets disposed along, andseparated from, an edge of a first side of the the drape, wherein eachpocket of the four pockets abuts at least one adjacent pocket at acommon border; at least one pocket disposed along a second side of thedrape, wherein the at least one pocket is rotated 180 degrees relativeto each of the four pockets; wherein: the drape is folded with a firstfold and a second fold that have fold lines oriented substantiallyparallel to the common border; and thereafter, the drape is folded witha third fold oriented substantially perpendicular to the fold lines,thereby inverting the four pockets; and thereafter, the drape is foldedwith a fourth fold to cover the four pockets.
 17. The medical kit ofclaim 16, further comprising one or more of a surgical mask, liquid handsanitizer, gloves, or combinations thereof, each being is disposed apocket.
 18. The medical kit of claim 16, the four pockets arranged in alinear, side-by-side arrangement, the four pockets having medicalindicia disposed thereon, the medical indicia comprising one or moreeducational prompts that instruct medical personnel how to use aparticular medical implement of the medical kit.
 19. The medical kit ofclaim 18, further comprising patient instructional material.
 20. Themedical kit of claim 18, the drape sealed within a wrap.